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PRIME MEDICAL GROUP PC NPI 1861615452


NPI Information

NPI: 1861615452
Provider Name: PRIME MEDICAL GROUP PC

Doing Business As: MICHIGAN VEIN & VASCULAR INSTITUTE

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
4455 TOWN CENTER PKWY
SUITE A
FLINT, MI
ZIP 48532
Phone: (810) 720-3370
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PRIME MEDICAL GROUP PC is a cardiovascular disease internal medicine in Flint, MI. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. PRIME MEDICAL GROUP PC NPI is 1861615452. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Michigan Vein & Vascular Institute.

The provider's business location address is:

4455 TOWN CENTER PKWY
SUITE A
FLINT, MI
ZIP 48532-425
Phone: (810) 720-3370
Fax: (810) 720-3367

The provider's authorized official is Samir Aqel Elian .
The authorized official title is President and has the following contact phone number (810) 720-3370.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 5/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RI0011XInternal MedicineInterventional Cardiology4301085958MICHIGANNo
22084S0012XPsychiatry & NeurologySleep Medicine5101016443MICHIGANNo
32086S0129XSurgeryVascular Surgery4301062994MICHIGANNo
4363L00000XNurse Practitioner4704216332MICHIGANNo
5207RC0000XInternal MedicineCardiovascular Disease4301075121MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14618140MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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